目的 研究非自杀性自伤(NSSI)青少年的情绪调节策略和家庭功能特征,为NSSI的预防及干预提供参考。方法 采用家庭亲密度和适应性量表(FACES)、情绪调节策略量表(ERQ)、贝克抑郁量表第2版(BDI-2)以及自制的一般情况调查表,于2021年1月以分层抽样的方法对陕西省西安市和宝鸡市12 所中学的7 869名中学生进行调查,筛选存在非自杀性自伤行为的中学生,并对其情绪调节策略和家庭功能进行研究。结果 具有非自杀性自伤行为的中学生家庭的亲密度和适应性更低(χ2=176.637、194.786、202.284,P<0.05),更倾向于采用表达抑制的情绪调节策略(t=9.620,P<0.05)。Logistic 回归分析显示,男性、认知重评得分高和家庭亲密度高是非自杀性自伤的保护因素(OR＝0.55、0.65、0.98),表达抑制的情绪调节策略和抑郁得分高是非自杀性自伤的危险因素(OR＝1.27、1.08,P<0.05)。结论 青少年非自杀性自伤与情绪调节策略和家庭功能密切相关,对此制定有针对性的心理干预措施有可能让更多的患者和家庭受益。
Abstract
Objective To explore the feature of emotion regulation strategies and family function in adolescents who suffered from non-suicidal self-injury(NSSI),in order to provide reference for the prevention and intervention of NSSI. Methods A total of 7 869 middle school students from Xi'an and Baoji in Shaanxi Province were selected into this study in January 2021, and were asked to fill in the Family Adaptability and Cohesion Evaluation Scales(FACES),Emotion Regulation Questionnaire(ERQ),Beck Depression Inventory-Ⅱ(BDI-Ⅱ)and self-developed general information questionnaire to screen adolescents with NSSI.The emotion regulation strategies and family function of adolescents with NSSI were investigated. Results The adolescents who have reported NSSI tended to use the expressive suppression strategy with lower family adaptability and cohesion(χ2=176.637,194.786,202.284,t=9.620,P＜0.05).Logistic regression analysis showed that male,high cognitive reappraisal score and high family closeness were protective factors for NSSI(OR=0.55,0.65,0.98),while high expressive suppression score and depression were risk factors for NSSI(OR=1.27,1.08,P<0.05). Conclusions NSSI among adolescents is closely related to emotional regulation strategies and family functions.Adolescents and their parents may benefit from psychological interventions focused on emotional regulation strategies and family functions.
关键词
非自杀性自杀 /
情绪调节策略 /
家庭功能 /
表达抑制 /
认知重评 /
抑郁 /
青少年
Key words
non-suicidal self-injury /
emotion regulation strategies /
family function /
expressive suppression /
cognitive reappraisal /
depression /
teenagers
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参考文献
[1] Nock MK.Understanding nonsuicidal self-injury:origins,assessment,and treatment[M].Am Psycho,2009:9-18.
[2] Zetterqvist M,Perini I,Mayo LM,et al.Nonsuicidal self-injury disorder in adolescents:clinical utility of the diagnosis using the clinical assessment of nonsuicidal self-injury disorder index[J].Front Psychiatry,2020,11:8.
[3] Lang J,Yao Y.Prevalence of nonsuicidal self-injury in chinese middle school and high school students:a meta-analysis[J].Medicine,2018,97(42):e12916.
[4] De Riggi ME,Moumne S,Heath N L,et al.Non-suicidal self-injury in our schools:a review and research-informed guidelines for school mental health professionals[J].Can J Sch Psychol,2017,32(2):122-143.
[5] Gratz KL,Rosenthal MZ,Tull MT,et al.An experimental investigation of emotion dysregulation in borderline personality disorder[J].J Abnorm psychol,2006,115(4):850-855.
[6] Joormann J,Gotlib IH.Emotion regulation in depression:relation to cognitive inhibition[J].Cogn Emot,2010,24(2):281-298.
[7] Moore SA,Zoellner LA,Mollenholt N.Are expressive suppression and cognitive reappraisal associated with stress-related symptoms?[J].Behav Res Ther,2008,46(9):993-1000.
[8] Heilman RM,Crişan LG,Houser D,et al.Emotion regulation and decision making under risk and uncertainty[J].Emotion,2010,10(2):257-265.
[9] Baetens I,Claes L,Hasking P,et al.The relationship between parental expressed emotions and non-suicidal self-injury:The mediating roles of self-criticism and depression[J].J Child Fam Stud,2015,24(2):491-498.
[10] Morris AS,Silk JS,Steinberg L,et al.The role of the family context in the development of emotion regulation [J].Social development 2007,16(2):361-388.
[11] 王力,柳恒超,李中权,等.情绪调节问卷中文版的信效度研究[J].中国健康心理学杂志,2007,15(6):503-505.
[12] 王力,陆一萍,李中权.情绪调节量表在青少年人群中的试用[J].中国临床心理学杂志,2007,15(3):236-238.
[13] Wang D,Yuan B,Han H,et al.Validity and reliability of emotion regulation questionnaire(ERQ)in Chinese rural-to-urban migrant adolescents and young adults[J].Current Psychology,2020.doi:10.1007/s12144-020-00754-9
[14] Baer L,Blais MA.Handbook of clinical rating scales and assessment in psychiatry and mental health[M].Humana Press,2010:10-11.
[15] 费立鹏,沈其杰,郑延平,等.“家庭亲密度和适应性量表”和“家庭环境量表”的初步评价——正常家庭与精神分裂症家庭成员对照研究[J].中国心理卫生杂志,1991,5(5):198-202,238.
[16] 林丽华,曾芳华,江琴,等.福建省中学生心理弹性家庭亲密度与非自杀性自伤行为的关系[J].中国学校卫生,2020,41(11):70-73.
[17] 杨春燕,李秀玲,张江萍.贵州省初中生非自杀性自伤行为现状与影响因素研究[J].现代预防医学,2020,47(13):2359-2363.
[18] 唐杰,马颖,郭勇,等.广东省中学生情绪管理与自伤行为的相关性[J].中国学校卫生,2014,35(7):967-969.
[19] 韦琳,王萍,覃彦香.城乡中学生伤害与心理社会能力缺陷关系[J].中国公共卫生,2012,28(6):745-749.
[20] 胡燕,徐慧琼,万宇辉,等.安徽省中学生非自杀性自伤行为现状及其影响因素[J].中国疾病控制杂志,2020,24(8):923-928.
[21] Berger E,Hasking P,Martin G.Listen to them':Adolescents' views on helping young people who self-injure[J].J Adolesc,2013,36(5):935-945.
[22] Bakken NW,Gunter WD.Self-cutting and suicidal ideation among adolescents:gender differences in the causes and correlates of self-Injury[J].Deviant Behavior,2012,33(5):339-356.
[23] Bresin K,Schoenleber M .Gender differences in the prevalence of nonsuicidal self-injury:a meta-analysis[J].Clin Psychol Rev,2015,38:55-64.
[24] de Riggi ME,Moumne S,Heath NL.et al.Non-suicidal self-injury in our schools:a review and research-informed guidelines for school mental health professionals[J].Can J Sch Psychol,2017,32(2):122-143.
基金
西安市科技计划项目[201805099YX7SF33(7)]
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